Sudhakar Reddy, M.D

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME40195 Issued in FL

Practice address

1330 Berdinger Ave.
St. Cloud, FL 34769-4707

Phone

(407) 891-2943

Fax

(407) 593-6854

NPI assigned

Jun 30, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Orlando Health St Cloud Hospital Hospital, Saint Cloud, FL, CCN 100302
• Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

Final score

91.5 of 100Reported as group

Promoting interoperability

90

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.91 of 100Reported as group

Quality

61.18

Promoting interoperability

100

Improvement activities

40

Cost

71.86

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: sudhakar.reddy.p1@direct.ddc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Orlando Health Medical Group Inc

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1669429577
  Medicare reassignment Care Compare group NPD
• Orlando Health Medical Group Inc

  • Durable Medical Equipment & Medical Supplies
  • Winter Park, FL
  • NPI 1265019541
  NPD
• Digestive Diseases Center of Florida, PLLC

  • Clinical Medical Laboratory
  • Panama City, FL
  • NPI 1386968121
  NPD (past)
• Northwest Florida a S C LP

  • Ambulatory Surgical Clinic/Center
  • Panama City, FL
  • NPI 1992785232
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Orlando Health, Inc.

  • General Acute Care Hospital
  • Orlando, FL
  • NPI 1184709057
  Care Compare affiliation
• Osceolasc LLC

  • General Acute Care Hospital
  • Saint Cloud, FL
  • NPI 1164478442
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1295763753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BERDINGER AVE.",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "347694707",
            "telephone_number": "407-891-2943",
            "fax_number": "407-593-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 BERDINGER AVE.",
            "city": "ST. CLOUD",
            "state": "FL",
            "postal_code": "347694707",
            "telephone_number": "407-891-2943",
            "fax_number": "407-593-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "SUDHAKAR",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0040195",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME40195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036023600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Lindsey Raymond, MSW
• Damian Raynor
• Naomi Recio
• Michael Reda
• Tristan N Reddick, MD
• Michael John Reidelbach
• Relatyv Mobile Medical LLC
• Christian Renda, MA CLINICAL MENTAL
• Vilma Margarita Rentero Crespo
• Cesar Jose Requena Roman, FNP-C

• Gastroenterology Physician in St. Cloud, FL
• Providers in St. Cloud, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.